Centerville Medical Group And Associates, Inc. in Fremont - Specialist
Centerville Medical Group And Associates, Inc. - NPI 1013098532
Centerville Medical Group And Associates, Inc. is a Specialist in Fremont, California. Centerville Medical Group And Associates, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Centerville Medical Group And Associates, Inc. is 1013098532. The last update date is 2020-08-22.
Centerville Medical Group And Associates, Inc.'s current location address is 3778 Bonde Way, Fremont, California. You can contact this provider via phone number 5108189100 and fax number 5108189901. The mailing address for Centerville Medical Group And Associates, Inc. is 3778 Bonde Way, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Medical Group And Associates, Inc. |
|---|---|
| Address | 3778 Bonde Way, Fremont, California |
| Phone Number | 5108189100 |
| Fax Number | 5108189901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Martinez V.M. Lene |
| Credentials | M.D. |
| Telephone Number | 5108189100 |
NPI Number Detail
| NPI Number | 1013098532 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3778 Bonde Way |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945363646 |
| Phone Number | 5108189100 |
| Fax Number | 5108189901 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Centerville Medical Group And Associates, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Centerville Medical Group And Associates, Inc. has been assigned the NPI (National Provider Identifier) 1013098532. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Centerville Medical Group And Associates, Inc. located?
The Centerville Medical Group And Associates, Inc. is located at 3778 Bonde Way, Fremont, CA 945363646.
What is the Centerville Medical Group And Associates, Inc.'s specialty and taxonomy code?
The Centerville Medical Group And Associates, Inc.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centerville Medical Group And Associates, Inc. receive the assignment of its 1013098532 from the Centers for Medicare & Medicaid Services?
The Centerville Medical Group And Associates, Inc. was issued its 1013098532 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date was the information pertaining to Centerville Medical Group And Associates, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Centerville Medical Group And Associates, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.